Individual provider · Type 1 NPI
Deidra Diane Henley, FNP-C
Family Nurse Practitioner · Aiken, SC
NPI number
1649745530
Active
Practice location
410 University Pkwy Ste 1550
Aiken, SC 29801-6838
Fax (803) 648-8771
Mailing address
2946 Aylesbury Dr
Augusta, GA 30909-0628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN205120 (GA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1649745530
Deidra Diane Henley, FNP-C's National Provider Identifier is 1649745530, issued on Oct 8, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Aiken, SC. The record was last updated on Jul 11, 2024.